Auditory verbal hallucinations: Dialoguing between the cognitive sciences and phenomenology

Auditory verbal hallucinations (AVHs) are a highly complex and rich phenomena, and this has a number of important clinical, theoretical and methodological implications. However, until recently, this fact has not always been incorporated into the experimental designs and theoretical paradigms used by researchers within the cognitive sciences. In this paper, we will briefly outline two recent examples of phenomenologically informed approaches to the study of AVHs taken from a cognitive science perspective. In the first example, based on Larøi and Woodward (Harv Rev Psychiatry 15:109–117, 2007), it is argued that reality monitoring studies examining the cognitive underpinnings of hallucinations have not reflected the phenomenological complexity of AVHs in their experimental designs and theoretical framework. The second example, based on Jones (Schizophr Bull, in press, 2010), involves a critical examination of the phenomenology of AVHs in the context of two other prominent cognitive models: inner speech and intrusions from memory. It will be shown that, for both examples, the integration of a phenomenological analysis provides important improvements both on a methodological, theoretical and clinical level. This will be followed by insights and critiques from philosophy and clinical psychiatry—both of which offer a phenomenological alternative to the empiricist–rationalist conceptualisation of AVHs inherent to the cognitive sciences approach. Finally, the paper will conclude with ideas as to how the cognitive sciences may integrate these latter perspectives into their methodological and theoretical programmes.     

Monitoring Perceptions of Social Progress and Pride of Place in a South African Community

A social indicators community project was conducted in 2007 to monitor living standards and quality of life in Rhini, a low-income suburb of Grahamstown, Makana Municipality, South Africa. Since 1994, under democratic rule, considerable progress has been made in service delivery to the formerly disadvantaged in South African society in terms of access to housing, infrastructure, and a social safety net to mitigate the high rate of unemployment. A representative cross-sectional household study (n 1020) conducted in 2007 in Rhini found that a positive assessment of the household’s situation and personal life satisfaction did not reflect better living conditions. Lack of income and employment opportunities appeared to dilute gains from higher living standards. The project also inquired into attitudes to place names and a proposed name change for the city under discussion at the time of the survey. It is argued that a place name with which one can identify may be as important as service delivery to enhance community satisfaction and overall quality of life. Dissatisfied residents who had limited access to services and expressed less civic pride were more likely than others to opt for a proposed name change for the city of Grahamstown that would better reflect the country’s new identity and multicultural heritage. It is concluded that a useful pursuit for community quality-of-life studies in countries undergoing social transformation will be to inquire into the complex combination of factors that drive perceptions of material and symbolic progress.     

The earliest electrophysiological correlate of visual awareness?

To examine the neural correlates and timing of human visual awareness, we recorded event-related potentials (ERPs) in two experiments while the observers were detecting a grey dot that was presented near subjective threshold. ERPs were averaged for conscious detections of the stimulus (hits) and nondetections (misses) separately. Our results revealed that hits, as compared to misses, showed a negativity around 180-350 ms at occipital and posterior temporal sites. It was followed by a positive wave after 400-500 ms, peaking at parietal sites. These correlates were not affected by a manipulation of attention. The early negativity, called 'visual awareness negativity' (VAN), may be a general, primary electrophysiological correlate of visual awareness. The present data show that it can be observed in response to appearance of a stimulus in visual awareness and that it generalizes across different manipulations of stimulus visibility.     

Better than average and better with time: relative evaluations of self and others in the past,present, and future

Evaluations of self and others in the past, present, and future were examined by asking 385 students to rate themselves or an acquaintance relative to their peers on a number of personality traits. We predicted, and found, evidence for self‐enhancement, as most participants regarded themselves superior to ‘most others’ at all points in time. We also found a better than average improvement effect, as participants considered themselves more superior now, than they were in the past, and expected to become even more superior in the future. Expected improvement in the future was larger than improvement over an equal span of time in the past. It is suggested that favorable self‐constructions are possible to the extent that the past and the future are perceived as ambiguous. Singular acquaintances were also rated better than most others, and were believed to improve over time, but their rate of improvement in the future was smaller than the expected improvement for oneself. Copyright © 2007 John Wiley & Sons, Ltd.     

Psychosocial Conditions of Women Awaiting Genetic Counseling: A Population-based Study

The decision whether to undergo genetic counseling for hereditary breast and ovarian cancer is complex. Knowledge about the psychosocial conditions of women who are awaiting counseling is sparse. We aimed to compare the psychosocial conditions of women awaiting genetic counseling with those of women in two reference groups. We included 567 women referred to genetic counseling for hereditary risk of breast or ovarian cancer (Genetic Group), 689 women referred to mammography (Mammography Group) and a random sample of 2,000 women from the general population (Population Group). One to 4 weeks before the first counseling session or mammography, data were collected by questionnaires. Both women affected with cancer and unaffected women in the Genetic Group appeared to have a somewhat higher prevalence of cancer-specific-distress than the corresponding reference groups. Further research on the effect of pre- counseling interventions appear warranted in addition with exploring a potential association between waiting time and cancer-specific distress.     

Analysing trends in subjective well-being in 15 European countries, 1973–2002

Previous empirical research has been unable to find a sufficient correlation between subjective well-being and per capita income, being hampered by limited longitudinal information and an inability to account for the predictions of competing theories. We bring new evidence to this question by exploiting a long and complete time-series from the Eurobarometer Survey, 1973–2002 allowing an examination of trends in life satisfaction across 15 European countries employing a modified version of Kendall’s Tau. Our results show that while current GDP growth does not affect trends in well-being, accelerations in GDP growth do. In addition, faster GDP growth and faster growth of government consumption than in neighbouring countries induces positive trends in life satisfaction. Our findings are consistent with the predictions of aspirations theory and the theory of reference group comparisons.     

The Problem of Other Minds: Wittgenstein's Phenomenological Perspective

This paper discusses Wittgenstein's take on the problem of other minds. In opposition to certain widespread views that I collect under the heading of the “No Problem Interpretation,” I argue that Wittgenstein does address some problem of other minds. However, Wittgenstein's problem is not the traditional epistemological problem of other minds; rather, it is more reminiscent of the issue of intersubjectivity as it emerges in the writings of phenomenologists such as Husserl, Merleau-Ponty, and Heidegger. This is one sense in which Wittgenstein's perspective on other minds might be called “phenomenological.” Yet there is another sense as well, in that Wittgenstein's positive views on this issue resemble the views defended by phenomenologists. The key to a proper philosophical grasp of intersubjectivity, on both views, lies in rethinking the mind. If we conceive of minds as essentially embodied we can understand how intersubjectivity is possible.     

Facets of psychopathy, heart rate variability and cognitive function

The aim of the present study was to investigate whether the four facets of Hare's Psychopathy Checklist-Revised (PCL-R; Hare, 1991; Bolt, Hare, Vitale, & Newman, 2004) were related to physiological and cognitive mechanisms. Fifty-three male prisoners participated in this study. Physiological responses were measured as heart rate variability (HRV) and heart rate (HR). Cognitive functions were measured using a continuous performance test (CPT; California Computerized Assessment Package, Abbreviated version) and a working memory test (WMT); based on Baddeley & Hitch (1974). The regression analysis of the HRV revealed that the interpersonal facet explained most of the variance during baseline (28%), CPT (16%), and WMT (12%). This was also true for the HR data during baseline (28%), CPT (20%), WMT (10%), and recovery (13%). The antisocial facet explained 10% of the variance only during baseline. Subjects scoring high compared to low on the interpersonal facet also showed better cognitive functioning. The study suggests that the different facets were differently associated with both physiological and cognitive functions.     

Living with Multiple Endocrine Neoplasia Type 1: Decent Care-Insufficient Medical and Genetic Information A Qualitative Study of MEN 1 Patients in a Swedish Hospital

This qualitative study explores how 29 Swedish patients with Multiple Endocrine Neoplasia type 1 (MEN1) experience living with the condition, appraisal of the clinical follow-up program, and surveys their future expectations. The aim of this study is to build knowledge about this patient group in order to provide optimal care. The participants describe physical, psychological, and social limitations in their daily activities and how these limitations influence quality of life. Our findings indicate that a majority of patients have adjusted to their situation, describing themselves as being healthy despite physical symptoms and treatment. The participants received decent care in the clinical follow-up program, - however, greater effort should be put into patient information. These patients might benefit from genetic counseling. Health professionals involved should recognize their potential impact and influence on a patient’s ability to adjust to these circumstances. Antonovsky`s Sense of Coherence theory is used to discuss these findings.     

Comparing infants' use of featural and spatiotemporal information in an object individuation task using a new event-monitoring design

Discussions have recently taken place on whether spatiotemporal information is more important than featural information when infants attempt to individuate objects. Hitherto, spatiotemporal and featural information have only been compared directly by using cognitively demanding 'event-mapping designs' (e.g. Xu & Carey, 1996), whereas the simpler event-monitoring designs (e.g. the 'wide-screen/narrow-screen' by Wilcox and colleagues) have not been employed for such a comparison. The present research offers a new event-monitoring design, the rotating screen design, that allows for such a direct comparison. Three experiments in which 9.5-, 8.0-, and 6.5-month-old infants attempt to individuate objects by spatiotemporal and featural information are reported. The results showed that whereas the 9.5-month-old infants were able to individuate objects by spatiotemporal as well as featural information, the infants of the younger age groups only successfully individuated objects when provided with spatiotemporal information, but not with featural information.